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RED RIVER ARMY DEPOT
NPI 1336340777
Military Health Care Provider in Shreveport, LA

Active since May 31, 2007
9403 EVERGREEN DR, SHREVEPORT, LA 71118(318) 393-2243 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Red River Army Depot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RED RIVER ARMY DEPOT (NPI 1336340777) is a healthcare organization registered as a military health care provider in Shreveport, Louisiana and active in the NPI registry since May 2007. The organization lists Troy Ross, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1336340777
Entity TypeOrganization
Primary Taxonomy171000000X
Legal Business NameRED RIVER ARMY DEPOT
Location Address9403 EVERGREEN DRShreveport, LA 71118-3935
Mailing Address9403 Evergreen DriveShreveport, LA 71118 · (318) 393-2243
Phone(318) 393-2243
Organization SubpartNo
Authorized OfficialTroy RossChief Medical Officer · (903) 334-2155
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336340777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
License✔ Licensed in OK · 13698
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
9403 EVERGREEN DR, Shreveport, LA 71118
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red River Army Depot's NPI number?

The NPI number for Red River Army Depot is 1336340777. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Red River Army Depot located?

Red River Army Depot is located at 9403 Evergreen Dr, Shreveport, LA 71118. The listed phone number is (318) 393-2243.

What is Red River Army Depot's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Red River Army Depot was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.